Page Crazy

Operators immediate of Health, doctors and patients: As to manage this complex relation. The chaotic system of public health of Brazil added to the economic growth of the country resulted in the increase of the demand of the private system of health. The numbers are amazing and the consequences are many. The significant increase of customers having access to the services of private health, had been capable approximately to relieve net profits of 22.5% in the last trimester of one of the biggest operators of plans of health of the country. Growth and little quality the growth of these operators, however, is not synonymous of rendering of services of quality with efficiency and credibility, quite to the contrary, the service leads ranking of claims of the Idec, (Brazilian Institute of Defense of the Consumer), has 10 years more than and in the last semester this index folded. The biggest number of claims is related to the covering refusals, exactly in the procedures covered in contract, where many times it is necessary to set in motion justice for the release of a procedure. The value of the annual readjustment of the monthly fees is abusive and above of the value of the inflation.

Irrisrios views to the doctors the claims are not only made by the consumers, but also to the credential resources, in its majority medical rendering of services that receive to repass that it varies between R$ 25,00 R$ 40,00 for consultation. The values of the honorary doctors are not readjusted creating dissatisfaction on the part of the doctors, having as consequence the stoppages in the attendance, leading upheavals to the patients. The doctors have difficulty for release of procedures of high cost, where many times the operators deny the release of the same ones, intervening with the medical treatment and harming the reestablishment/cure of the patient. The wronged greater in this relationship (as it could not be different) is the patient, who paid an abusive value in its monthly fee and does not have the certainty of that it will have access to the service when it will be necessary, and will have access, it will not have guaranteed the quality and security. Read more here: Kai-Fu Lee. High values and little respect to the By rough estimate naked customer are clear that the financial performance of the health plans is extremely positive in recent years, remain to know the reason these positive results do not reflect in the quality of the attendance and zeal to the customers. The hospitals had started in recent years if to worry about the welfare of the patients/customers creating all an atmosphere for the total quality, prezando for the humanizao and cares you add, however the health plans treat its customers as numbers that almost always summarize to the term ' ' custos' '. As it would say one known journalist: ' ' That is one vergonha' '. It is clearly that the necessary ANS to intervine with more severity in this question, to not only stipulate the rules, but also to guarantee that they are fulfilled. Respect is good and everybody likes. Until the next one!

This population growth provides for local commerce a chance of growth also in its sales and consequently increases of the profitability. Figure 2. Tax of annual Growth of the population. Source: Brazilian institute of Geography and statistics? IBGE. Seade foundation.

STRATEGICAL POSITIONS With the analysis of the strong, weak points, threats and current chances of the Portions and Cia Ltda Me, were possible to verify that the strategical position that the company comes adopting is of Survival. The survival strategy, second displayed previously, would have only to be adopted when it did not have alternative, therefore this strategy has predominance of weak points and threats. Through the interview with the proprietor of the company ‘ ‘ today I see that the company is well (steady) had worse moments where almost I declared falncia’ ‘ , and study of the theory presented on the positions strategies one suggests it Portions and Cia Ltda Me that the maintenance strategy is adopted, therefore this strategy can be modified by proprietors of the company since the maintenance strategy has predominance of strong points and threats. The strong and weak points are the internal 0 variable that the company controls, that is, it can modify these existing weak points. Thus generating more strong points, making possible that the maintenance strategy is applied. So that a strategy of maintenance either adopted by the company, suggests that the point weak of technology either worked so that if it becomes a strong point as soon as making possible the other weak points as of control of supply, control of cost and control of invoicing that are decurrent the technology passes to be considered strong points. For this one suggests that the company acquires a computer science system assists that it in the managemental control, since supply control until the invoicing of the company.

The maintenance strategy is a preferable position when the company is facing or waits to find difficulties, and from this situation she prefers to ahead take attitude defensive of the threats. For proprietor: I believe that always it can improve, with all the existing difficulties we arrive where we arrive. The success that we conquer is estaquinado, today the house accomodates 80 places, for the time being we will be thus. I have a dream in mounting one would churrascaria, but this is not in the planning. Necessary to keep what it was reached so far.

In general way the company immortality searchs and the profitability in the market. For this reason, the strategical planning can assist the entrepreneurs who are responsible directly for the development of the company, therefore they needs objectives and goals thus and, to determine the action plan that it will be necessary for attainment of the results. However the small companies are the ones that less are worried about the strategical planning. For Certain (1993, P. 6), strategical planning ' ' it is defined as a continuous and interactive process that it aims at to keep an organization as a set appropriately integrated its ambiente' '. Through these definitions a line of thought is perceived very seemed that detaches the importance that to all interact the environment of the organization, all the sectors and departments need to be in the strategical planning.

With the strategical planning it is possible to direct the efforts of the common points, to clearly leave for all the employees the mission, the vision, the objectives of the company, etc and to stipulate a cronograma of work for all the employees in a skillful time to reach the longed for results. LEVELS OF the STRATEGICAL, TACTICAL AND OPERATIONAL PLANNING In the elaboration of a strategical planning exist levels that must be followed stop better performance of the process. In accordance with Oliveira (2004, p.47): The strategical planning, of isolated form, is insufficient, a time that the establishment of objectives in the long run, as well as its reach, results in a misty situation, therefore does not exist immediate actions that operacionalizem the strategical planning. The lack of these aspects is supplied through the development and implantation of the tactical and operational planejamentos of integrated form. Figure 1. The levels of decision and the types of planning. Source: (Oliveira, 2004, P. 45) the strategical Planning becomes related with objectives of long stated period and strategies and actions to reach them that affect the company as a whole.